Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Balthazor, MS, LPC, CRC

Individual provider Professional Counselor · NPI 1649167594

Katherine Balthazor, MS, LPC, CRC is a Mental Health Counselor in Monona, Wisconsin. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6580 Monona Dr # 1078
Monona, WI 53716-4032
Phone: (608) 616-0271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5613-125 (WI)

Record details

NPI number1649167594
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC , CRC
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 28, 2025
Certification dateJune 28, 2025
Mailing address6580 Monona Dr # 1078, Monona, WI 53716-4032

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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